Provider Demographics
NPI:1902967995
Name:ALOHA LABORATORIES, INC.
Entity Type:Organization
Organization Name:ALOHA LABORATORIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NAOKI
Authorized Official - Middle Name:
Authorized Official - Last Name:KITAMURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-596-7031
Mailing Address - Street 1:6655 NORTH MACARTHUR BOULEVARD
Mailing Address - Street 2:ATTN: MANAGED CARE DEPARTMENT
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2443
Mailing Address - Country:US
Mailing Address - Phone:214-596-7031
Mailing Address - Fax:
Practice Address - Street 1:1888 KALAKAUA AVE
Practice Address - Street 2:SUITE C-312
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1510
Practice Address - Country:US
Practice Address - Phone:808-447-5810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2016-09-02
Deactivation Date:2007-07-18
Deactivation Code:
Reactivation Date:2008-01-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH0000WBCHPMedicare PIN
HIH0000WBCHPMedicare PIN
HI06933201Medicaid